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HOLLYWOOD PEDIATRIC DENTISTRY NPI 1942797311


NPI Information

NPI: 1942797311
Provider Name: HOLLYWOOD PEDIATRIC DENTISTRY

Doing Business As: NUTLEY PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
500 FRANKLIN AVE
NUTLEY, NJ
ZIP 07110
Phone: (973) 667-5507
Get Directions

HOLLYWOOD PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Nutley, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HOLLYWOOD PEDIATRIC DENTISTRY NPI is 1942797311. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nutley Pediatric Dentistry.

The provider's business location address is:

500 FRANKLIN AVE
NUTLEY, NJ
ZIP 07110-720
Phone: (973) 667-5507
Fax: (973) 667-6150

The provider's authorized official is Kimberly Marie Hollywood .
The authorized official title is Dentist and has the following contact phone number (973) 667-5507.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 4/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry22DI02508000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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